Maternal Smoking During Pregnancy and ADHD: Results From a Systematic Review and Meta-Analysis of Prospective Cohort Studies
Abstract
Objective: Findings on maternal smoking during pregnancy and ADHD risk in children are inconsistent. A meta-analysis was performed to summarize effects of exposure to maternal smoking during pregnancy on ADHD risk in children. Method: We conducted a systematic literature search to select articles up to June 2016. Only prospective cohort studies were included. Summary relative risks (RRs) with 95% confidence intervals (CIs) were calculated. Results: Pooled RR estimates based on 12 cohort studies including 17,304 pregnant women suggested that maternal smoking during pregnancy was associated with an increased risk of ADHD (pooled RR = 1.58, 95% CI = [1.33, 1.88]). Conclusion: Results from this study indicate that maternal smoking during pregnancy is related to an increased risk of ADHD in children. There is an urgent need to increase maternal awareness of smoking risk and quitting smoking to mitigate the ADHD risk in children.
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Maternal smoking during pregnancy is associated with increased risk of ADHD (pooled RR=1.58, 95% CI [1.33,1.88]).
“One systematic review and meta-analysis of prospective cohort studies (n = 17,304), for example, found that maternal smoking during pregnancy was associated with an increased risk of ADHD (pooled RR = 1.58, 95% CI = [1.33, 1.88])”
From Prenatal nicotine exposure during pregnancy results in adverse neurodevelopmental alterations and neurobehavioral deficits (2023) · cites this paper as [73]
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Zakariyah, A., Alqutub, S., Kazim, S., Alharbi, R., Alharthi, H., Alharbi, H., Albassami, M., Hanbazazh, M., & Mahnashi, M. (2024) · Tobacco Use Insights · doi:10.1177/1179173x241283765
Early developmental risks for tobacco addiction: A probabilistic epigenesis framework
Ortega, L. A., Aragon-Carvajal, D. M., Cortes-Corso, K. T., & Forero-Castillo, F. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105499
Zespół nadpobudliwości psychoruchowej z deficytem uwagi ADHD – perspektywa kliniczno-kryminologiczna
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- Authors
- He, Y., Chen, J., Zhu, L.-H., Hua, L.-L., & Ke, F.-F.
- Affiliations
- Ningbo Women and Children’s Hospital, China
- ORCID
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2017-03-08
- Volume
- 24
- Issue
- 12
- Pages
- 1637-1647
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2591775915
- Cited by
- 106
- References
- 0
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 23 · 2023: 14 · 2022: 17 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 6 · 2013: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- smoking during pregnancy, attention deficit hyperactivity disorder, prenatal tobacco exposure, prenatal nicotine exposure, maternal smoking cessation
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Pregnancy, Prenatal Exposure Delayed Effects, Prospective Studies, Smoking, Cohort Studies
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